Membership Application

If you are interested in having your team join the Mason Dixon Football League, please fill out the form below and a member of the Executive Committee will reach out to you.

Organization Name*

Website Address

Address*

Contact Name*

Contact Phone Number*

Contact #2 Name

Contact #2 Phone Number

Team Colors*

Home Jersey Color*

Away Jersey Color*

Stadium Name

Stadium Address

Does the Stadium Have...

Showers

Lights

Scoreboard

Bleachers

Pressbox

Public Bathroom

Security

Previous League(s) Affiliation*

Reason For Leaving*

If an Existing Team – How long have you been in business

Head Coach*

Team Owner*